Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAWANDA HOLLOWAY LMHC
NPI 1285074203
Counselor - Mental Health in Jacksonville, FL

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment
555 STOCKTON ST, JACKSONVILLE, FL 32204(904) 387-4661 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Dec 12, 2025, Nov 21, 2025 and 2 more (5 updates tracked since 2023).

About Shawanda Holloway Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWANDA HOLLOWAY LMHC (NPI 1285074203) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH20882) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285074203
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAWANDA HOLLOWAYCredential: LMHC
Location Address555 STOCKTON STJacksonville, FL 32204-2534
Mailing Address7101 Wilson Blvd Apt 1204Jacksonville, FL 32210-3687 · (904) 765-0665
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 5, 2013
Last NPPES UpdateOctober 2, 20265 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1285074203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH20882
555 STOCKTON ST, Jacksonville, FL 32204

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawanda Holloway Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204289598
PECOS Enrollment IDI20240202002187
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shawanda Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
841 PRUDENTIAL DR STE 1350
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 176 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Counselor (Mental Health)
555 STOCKTON ST
JACKSONVILLE, FL 32204
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Licensed Practical Nurse
555 STOCKTON ST
JACKSONVILLE, FL 32204
Peer Specialist
555 STOCKTON ST
JACKSONVILLE, FL 32204
Counselor
555 STOCKTON ST
JACKSONVILLE, FL 32204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawanda Holloway's NPI number?

The NPI number for Shawanda Holloway is 1285074203. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Shawanda Holloway located?

Shawanda Holloway practices at 555 Stockton St, Jacksonville, FL 32204. The listed phone number is (904) 387-4661.

What is Shawanda Holloway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shawanda Holloway enrolled in Medicare?

Yes. Shawanda Holloway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shawanda Holloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawanda Holloway reassigns Medicare benefits to Baptist Behavioral Health, LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawanda Holloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawanda Holloway accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Shawanda Holloway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawanda Holloway was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.